JACOMB 401(K) PLAN
|
2023
|
453455153
|
2024-10-10
|
JACOMB, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
7401 WILLOWBROOK RD, VICTOR, NY, 14564
|
Signature of
Role |
Plan administrator |
Date |
2024-10-10 |
Name of individual signing |
BILL GAUTHIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACOMB 401(K) PLAN
|
2022
|
453455153
|
2023-03-27
|
JACOMB, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
7401 WILLOWBROOK RD, VICTOR, NY, 14564
|
Signature of
Role |
Plan administrator |
Date |
2023-03-27 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2021
|
453455153
|
2022-04-04
|
JACOMB, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
7401 WILLOWBROOK RD, VICTOR, NY, 14564
|
Signature of
Role |
Plan administrator |
Date |
2022-04-04 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2020
|
453455153
|
2021-03-31
|
JACOMB, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
1175 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY, 14534
|
Signature of
Role |
Plan administrator |
Date |
2021-03-31 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2019
|
453455153
|
2020-09-28
|
JACOMB, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
1175 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY, 14534
|
Signature of
Role |
Plan administrator |
Date |
2020-09-28 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2018
|
453455153
|
2020-09-28
|
JACOMB, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
1175 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY, 14534
|
Signature of
Role |
Plan administrator |
Date |
2020-09-28 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2018
|
453455153
|
2019-09-18
|
JACOMB, LLC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
1175 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY, 14534
|
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2017
|
453455153
|
2018-10-01
|
JACOMB, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
1175 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY, 14534
|
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2016
|
453455153
|
2017-03-22
|
JACOMB, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
1175 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY, 14534
|
Signature of
Role |
Plan administrator |
Date |
2017-03-22 |
Name of individual signing |
BILL GAUTHIER |
|
|
JACOMB 401(K) PLAN
|
2015
|
453455153
|
2016-08-01
|
JACOMB, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-22
|
Business code |
423200
|
Sponsor’s telephone number |
5853508607
|
Plan sponsor’s
address |
1175 PITTSFORD VICTOR RD, SUITE 120, PITTSFORD, NY, 14534
|
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
BILL GAUTHIER |
|
|